Abstract
Inferior vena cava (IVC) thrombosis is commonly caused by either a congenital anomaly or an IVC filter that was not previously removed. Other causes include inherited thrombophilia or acquired. It is found in 2.6% - 4% of patients with lower extremity deep vein thrombosis (DVT). The mortality rate of IVC thrombosis is twice as high as that of DVT. Morbidities include post-thrombotic syndrome (PTS), disabling venous claudication, pulmonary embolism, and venous ulceration. In one study the rate of recurrent DVT in iliocaval thrombosis was 73% in those with untreated residual outflow stenosis versus 13% in those who had stenting of residual stenosis. Here we present an atypical case of IVC thrombosis in a young male without any inherited or acquired risk factors.
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